Sorg, Jennifer

Sorg, Jennifer is an individual health care provider with primary practice located at 6285 S Higley Rd , Gilbert AZ 85298-4262. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Sorg, Jennifer can be contacted via phone (480) 460-4949.

Contact Information

Primary practice address
6285 S Higley Rd Gilbert AZ 85298-4262
Phone: (480) 460-4949
Fax: (480) 460-5858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 28193085A Indiana

Profile Details

NPI number 1326458381
LBN Legal business name Sorg, Jennifer
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2014
Last updated Nov 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326458381 NPPES
Indiana Other 28193085A LICENSE
Indiana Other 248632 LICENSE

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